Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | OT 003835 | OH |
N | 225X00000X | Occupational Therapist | OT 003835 | OH |
N | 2251E1200X | Ergonomics | OT 003835 | OH |
N | 225XE1200X | Ergonomics | OT 003835 | OH |
N | 225XH1200X | Occupational Therapist - Hand | OT 003835 | OH |
N | 2251H1300X | Human Factors | OT 003835 | OH |
N | 225XH1300X | Human Factors | OT 003835 | OH |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 003835 | OH |
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT 003835 | OH |
NPI | 1821274713 |
---|---|
Provider Name | Penny G Handmacher |
First Address | Maryville, TN 37802-5209 |
Second Address | Maryville, TN 37804-5285 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2008 |
Last Update Date | 14/09/2015 |